HomeMy WebLinkAboutMINUTES - 07172001 - D.3 TO: BOARD OF SUPERVISORS �• 3
Contra
FROM: Mark DeSaulnier& Gayle Uilkema
- Costa
DATE: July 17, 2001
- � County
SUBJECT: Health Services Department Audit
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
REC OMM[ENDAT ONS
1. DIRECT the County Administrator to return to the Board within 30 days with a Request for
Proposals for an outside contractor to conduct one or more management audits of the Health
Services Department, along with an estimated cost and source of funding.
2. DIRECT the County Administrator to include with the Request for Proposals an
identification of the specific programs within the Health Services Department for which a
management audit is recommended; along with a request for a review of the organizational
structure of the Health Services Department, including a comparison with that of other large,
urban California counties.
3. DIRECT that the management audit include recommendations for reducing costs and
increasing revenues.
4. DIRECT that the findings of this audit be reported back to the Board within six months.
BACKGROUND
The 2000-2001 Contra Costa Grand Jury, in its Report No. 0103, entitled "Health Services
Department Financial Management Performance", made several findings and recommendations
regarding the management of finances in the Health Services Department. While many of the
findings and recommendations appear to have been based on incomplete data; it would behoove
us nonetheless to examine the County.Health Services Department to identify what is working
efficiently and what could be improved, particularly in the areas of cost cutting and revenue
maximization. The audit should also review the organizational structure of the Department,
including a comparison to that of other large urban California counties.
While management audits of County departments and services are typically conducted by the
County Administrator's Office, we are advised that a comprehensive audit of this magnitude
cannot be performed with the County Administrator's existing resources within the desired time
frame. The scope-and complexity of the Health Services Department and its myriad programs
require that a firm or firms with specific knowledge and experience in public health, mental health
and hospital services conduct the audit. We are, therefore, recommending that the County
Administrator be directed to prepare a Request for Proposals for a qualified independent firm or
firms to conduct the audit, the results of which to be completed within a six-month period.
CONTINUED ON ATTACHMENT: YES SIGNATURES:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ACTION OF BOARD ON -APPROVE AS RECOMME D_XX_ OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
XX UNANIMOUS(ABSENT ---- ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED July 17, 2001
JOHN SWEETEN,CLERK OF THE BOARD OF
Contact: SUPERVISORS AND COUNTY ADMINISTRATOR
cc: COUNTY ADMINISTRATOR '
HEALTH SERVICES DIRECTOR BY ,DEPUTY